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Peak SE Primer Kits (4 syringes per kit) manufactured by… recallZ-1822-2012 · Ultradent Products, Inc. · initiated May 24, 2012

Class II Terminated All recalls posted in June 2012

Is my device affected?

  1. Compare the model, catalog and lot or serial numbers on your device or its packaging with the code information below. A recall usually covers only specific models or lots.
  2. If yours is listed, follow the instructions from Ultradent Products, Inc. or your healthcare provider. The company's action is summarized under what the company is doing.
  3. Do not stop using a prescribed or implanted device on your own — talk to your healthcare provider first.

Where to find your model and lot numbers · What recall classes and statuses mean

Why it was recalled

Ultradent is recalling lot B6Z4K of Peak SE Primer as a result of a field complaint, dated May 10, 2012, stating that a syringe of Peak SE Primer was mislabeled as Peak LC Bond Resin. These products are used by Dental professionals for bonding needs in restorative dental procedures.

FDA root cause category: Labeling mix-ups

What the company is doing

Ultradent Products Inc. sent an "URGENT MEDICAL DEVICE RECALL" letter dated June 5, 2012 to all affected customers. The letter identifies the product, problem, and actions to be taken by the customers. The letter instructs customers to discard any affected product from their 5135 kit. Customers were asked to complete and return a Recall Return Response form to the firm by fax at 801-553-4609.

Recall details

Recall number
Z-1822-2012
Recall class
Class II
Status
Terminated
Initiated by the company
May 24, 2012
Posted by the FDA
Jun 18, 2012
Recalling firm
Ultradent Products, Inc.
Quantity
172 kits (4 syringes per kit)
Product code
KLE
FDA submissions
K063558
Distribution
Worldwide Distribution.

Product description

Peak SE Primer Kits (4 syringes per kit) manufactured by Ultradent Products, Inc, South Jordan, UT, Self Etch Primer. The product is contained within prefilled, labeled syringes in a transparent plastic container identified with an aqua, red, orange, blue and black label with black and blue print writing. Product code: 5135, 872.3200 KLE, liquid and powder mixture is a syringe-in-a-syringe delivery system. The product is used for most bonding needs in restorative dentistry. Bonds chemical cure luting and chemical cure composites, namely PermaFlo DC. Peak SE does not require a separate etching step for quality adhesion. Peak SE is also conducive for bonding to: Dentin and enamel, porcelain, metal and composite.

Code information (models, lots, serial numbers)

Lot number: B6Z4K.

Other devices under the same FDA submission

1 device cleared under K063558 — the recall does not name any of them by identifier. One submission often covers many models, so they may or may not be affected.

Sources and updates

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